CAJ | 학술논문

　　目的探讨儿童腺样体肥大合并阻塞性睡眠呼吸暂停综合征（OSAS）的治疗方法及临床疗效。方法对2011年4月~2012年9月我院耳鼻喉科收治的36例阻塞性睡眠呼吸暂停综合征患儿资料进行回顾分析，术后回访6~12个月。结果36例患儿均治愈，其中12例术后睡眠鼾声基本消失，无张口呼吸，憋醒及呼吸暂停等表现，24例憋醒，张口呼吸，呼吸暂停及睡眠打鼾等症状完全消失。术后回访6~12个月，无一例并发症且无一例复发。结论对于儿童腺样体肥大合并阻塞性睡眠呼吸暂停综合征患儿，鼻内镜下腺样体切除术治疗，临床疗效确切，值得进一步推广。
　　목적탐토인동선양체비대합병조새성수면호흡잠정종합정（OSAS）적치료방법급림상료효。방법대2011년4월~2012년9월아원이비후과수치적36례조새성수면호흡잠정종합정환인자료진행회고분석，술후회방6~12개월。결과36례환인균치유，기중12례술후수면한성기본소실，무장구호흡，별성급호흡잠정등표현，24례별성，장구호흡，호흡잠정급수면타한등증상완전소실。술후회방6~12개월，무일례병발증차무일례복발。결론대우인동선양체비대합병조새성수면호흡잠정종합정환인，비내경하선양체절제술치료，림상료효학절，치득진일보추엄。
Objective To explore the treatment method and clinical effect of adenoidal hypertrophy in children with obstructive sleep apnea syndrome (OSAS). Methods 36 cases of children with obstructive sleep apnea were analyzed retrospectively by interview 6 -12 months after surgery,from April 2011 to September 2012 in ENT department of our hospital. Results 36 cases of patients were cured,12 cases of postoperative sleep snoring disappeared,no mouth breathing,arousal and apnea. 24 cases had arousal,mouth breathing,and sleep apnea and snoring and other symptoms disappeared completely. There was no case of complication and recurrence. Conclusion Endoscopic adenoidectomy treatment for the adenoidal hypertrophy with obstructive sleep apnea syndrome,is worthy of further promotion,and the effect is exact.